AMINOPHYLLINE 105MG/5ML SOLN,ORAL (2790)    VA PRODUCT (50.68)

Name Value
NAME AMINOPHYLLINE 105MG/5ML SOLN,ORAL
VA GENERIC NAME AMINOPHYLLINE
DOSAGE FORM SOLN,ORAL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 105
INACTIVATION DATE 2003-08-01 00:00:00
UNITS MG/5ML
DSS NUMBER 8
NATIONAL FORMULARY NAME AMINOPHYLLINE SOLN,ORAL
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME AMINOPHYLLINE 105MG/5ML ORAL SOLN
VA PRODUCT IDENTIFIER A0202
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4003369
EFFECTIVE DATE/TIME
  • 2003-08-01 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE